Vasospasm After Aneurysmal Subarachnoid Hemorrhage

AUTHOR(S)

Oyama, Katie; Criddle, Laura

PUB. DATE

October 2004

SOURCE

Critical Care Nurse;Oct2004, Vol. 24 Issue 5, p58

SOURCE TYPE

Academic Journal

DOC. TYPE

Article

ABSTRACT

Discusses a case of vasospasm after aneurysmal subarachnoid hemorrhage. Definition of vasospasm; Etiology and pathophysiology of cerebral vasospasm after subarachnoid hemorrhage; Signs and symptoms; Developments in the management of vasospasm.

Induced endothelin-1 (ET-1) production and decreased nitric oxide synthase (NOS) bioavailability have been found in aneurysmal subarachnoid hemorrhage (SAH). Atorvastatin is recognized to have pleiotropic effects including increasing NOS bioavailability as well as reducing inflammation and...

Reports on a case that showed early improvement of bilateral abducens nerve palsies following surgery of an anterior communicating aneuryms. Presence of a subarachnoid hemorrhage filling the interior supratentorial, prepontine and perimesencephalic cisterns.

Clinical and imaging findings of a series of 14 internal carotid artery bifurcation aneurysms microsurgically treated are presented. A total of 10 lesions were diagnosed before rupture and 4 patients presented with subarachnoidal hemorraghe and frontobasal intracerebral bleeding. Diagnosis was...

Electrocardiographic abnormalities in patients with subarachnoid hemorrhage secondary to aneurysm rupture appear in 50% to 100% of cases. The most frequent electrocardiographic abnormalities are T wave deep positive, flat or inverted, T waves inverted associated with lengthening of the QT...

In patients with acute hydrocephalus after aneurysmal subarachnoid haemorrhage (SAH), lumbar drainage is possible if the obstruction is in the subarachnoid space (communicating hydrocephalus). In case of intraventricular obstruction (obstructive hydrocephalus), ventricular drainage is the only...

The article focuses on the prognosis and treatment of subarachnoid hemorrhage (SAH). SAH has a young age of onset, often disabling and the chance of recurrent stroke is small once the patient survives the insult. Treatment of SAH is aimed at lowering the risk of aneurysm rebleeding and...

Background: The first-degree relatives of patients who have subarachnoid hemorrhage from ruptured intracranial aneurysms are themselves at risk for subarachnoid hemorrhage. We studied the benefits and risks of screening for aneurysms in the first-degree relatives of patients with sporadic...

A letter to the editor is presented which reports a case of a patient with subarachnoid hemorrhage (SAH) resulting from rupture of a fusiform aneurysm arising from the proximal part of a lateral lenticulostriate arteries (LSA).